Premature ejaculation (PE) is a prevalent sexual concern characterised by the rapid release of semen shortly after or before sexual penetration.
It’s a condition that can affect men of all ages and can lead to feelings of frustration or dissatisfaction with sexual activity.
Premature ejaculation can be categorised into two primary types based on its onset and potential causes:
Men with primary premature ejaculation have experienced the condition since they first became sexually active. It is a persistent and consistent occurrence throughout their sexual lives.
Characteristics:
Men with secondary premature ejaculation have developed the condition after having had previous sexual experiences without ejaculatory problems.
Characteristics:
Both types of premature ejaculation can be distressing for a man and can affect his relationship with his partner. However, with the right treatment and counselling, most men can learn to delay ejaculation and enhance their sexual experience.
Premature ejaculation can be the result of various factors, both psychological and physical. Understanding the root cause can be pivotal in seeking the right treatment.
Addressing premature ejaculation often involves a combination of medical treatments, psychological interventions, and self-help techniques. The right approach depends on the underlying cause and individual preferences.
Treating the Underlying Condition: If a physical condition, such as a thyroid disorder or prostate inflammation, is causing premature ejaculation, addressing that specific condition can resolve the issue. This might involve medications, lifestyle changes, or other medical interventions.
Cognitive Behavioural Therapy (CBT): This form of therapy can help individuals identify and change negative patterns of thought and behaviour that may be contributing to premature ejaculation.
Counselling: This can help address relationship issues, past trauma, or anxiety about sexual performance. It can be done individually or with a partner.
Exploring Relationship Issues: Addressing underlying relationship problems can help improve sexual communication and reduce performance anxiety.
Techniques to “Unlearn” Premature Ejaculation Habits: This involves learning to identify and control the sensations leading up to ejaculation.
Premature ejaculation is a common concern but is treatable. Various treatments, from medications to behavioural techniques, can help men delay ejaculation and enjoy a more satisfying sexual experience.
Dr Lee is a urologist and kidney transplant surgeon with a broad-based expertise of all urological disorders
He has subspecialty focus on men’s health and male infertility, and special interest in minimally invasive prostate enlargement therapy and kidney stone treatment. Dr Lee has received numerous awards for service excellence such as the Service With A Heart Award (2006-2008, 2011) and the Singapore Health Quality Service Award (2016).
Prior to entering private practice, Dr Lee served in the public sector for 16 years at SGH, where he initiated dedicated clinics evaluating and treating patients with complex men’s health and fertility issues. He also led the Renal Transplant Program and laparoscopic donor nephrectomy service as Surgical Director.
Apart from clinical work, Dr Lee is active in academia and believes in the importance of grooming the next generation of doctor. He was Senior Clinical Lecturer at NUS’ Yong Loo Lin School of Medicine and currently, Adjunct Assistant Professor at the Duke-NUS Medical School. Dr Lee is also regularly invited to share his experiences locally and regionally through lectures, workshops and surgical demonstrations.
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Premature ejaculation is one of the most common sexual dysfunctions in men. Studies suggest that approximately 1 in 3 men experience this condition at some point in their lives, though the severity and frequency can vary.
Premature ejaculation can occur at any age. However, it’s more commonly reported among younger men, possibly due to inexperience or heightened sensitivity. As men age and gain more sexual experience, they often learn techniques to delay ejaculation. However, it can also re-emerge in older age due to medical conditions or medications.
While no specific foods have been scientifically proven to prevent premature ejaculation, a balanced diet can improve overall sexual health. Foods rich in zinc, magnesium, and omega-3 fatty acids may help in enhancing testosterone levels and blood flow, potentially aiding in better ejaculatory control. It’s always advisable to consult with a nutritionist or urologist for personalised advice.
Determining the exact cause of premature ejaculation can be complex. If the issue has been persistent since becoming sexually active, it might be primary and possibly linked to psychological factors. If it developed later in life, it could be secondary and might have a physical cause. However, these are general guidelines, and a thorough evaluation by a urologist helps to determine the root cause.
In some cases, especially when the cause is psychological, premature ejaculation might resolve on its own over time, especially with increased sexual experience and confidence. However, if the condition persists or causes distress, seeking treatment or counselling can be beneficial.
